Big Hart Wellness and Sports Academy

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

BIG HART WELLNESS AND SPORTS ACADEMY

Practice address

2021 W Liddell Rd
Suite B
Duluth, GA 30096-8831

Phone

(702) 301-4432

NPI assigned

Jul 22, 2015

Last updated

Jul 22, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Edgerton Hartwell

Title

President

Phone

(702) 301-4432

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1396120291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5991 THOMPSON MILL RD",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305484029",
            "telephone_number": "702-301-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 W LIDDELL RD",
            "address_2": "SUITE B",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968831",
            "telephone_number": "702-301-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HART WELLNESS AND SPORTS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "HARTWELL",
        "authorized_official_first_name": "EDGERTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-301-4432",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhanja Enterprises LLC
• Partha Bhanja
• Neena Bhatia
• Sunil Bhole, MD
• Madhavi Bhoompalli, DDS
• Big Stride Therapy
• Sarah Gendreau Bignotti, RD, LD, CDE
• Michael Elliott Biller, PT
• Gabrielle Elizabeth Billie, OTD, OTR/L
• Bingham Adult Therapy Services

• Health Educator in Duluth, GA
• Providers in Duluth, GA by specialty
• Health Educator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.